Individual
JENNIFER JOANNE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, RN
Contact information
Practice address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(503) 397-5211
(503) 397-5373
Mailing address
7408 SE CLAY ST, PORTLAND, OR 97215-3531
(503) 442-5491
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A3451
OR
1041C0700X
Clinical Social Worker
Primary
—
—
163W00000X
Registered Nurse
200842224RN
OR
163WH0200X
Home Health Registered Nurse
200842224RN
OR
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
200842224RN
OR
Other
Enumeration date
08/28/2008
Last updated
07/26/2019
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